Provider Demographics
NPI:1003014523
Name:COTWRIGHT, ANTONIA LEIGH (DO)
Entity Type:Individual
Prefix:
First Name:ANTONIA
Middle Name:LEIGH
Last Name:COTWRIGHT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:510 N PROSPECT AVE STE 320
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3032
Mailing Address - Country:US
Mailing Address - Phone:310-376-2716
Mailing Address - Fax:310-374-9163
Practice Address - Street 1:510 N PROSPECT AVE STE 320
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-3032
Practice Address - Country:US
Practice Address - Phone:310-376-2716
Practice Address - Fax:310-374-9163
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-118703207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology